M Health Fairview Orthopedic Clinic -ridges | |
14101 Fairview Drive Ste 300 Burnsville MN 55337-2537 | |
(952) 892-2650 | |
Not Available |
Full Name | M Health Fairview Orthopedic Clinic -ridges |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 14101 Fairview Drive, Burnsville, Minnesota |
Authorized Official Name and Position | Robert Andrew Mccoy (VP REVENUE MANAGEMENT) |
Authorized Official Contact | 6126726594 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
M Health Fairview Orthopedic Clinic -ridges Po Box 9372 Minneapolis MN 55440-9372 Ph: (612) 672-6724 | M Health Fairview Orthopedic Clinic -ridges 14101 Fairview Drive Ste 300 Burnsville MN 55337-2537 Ph: (952) 892-2650 |
NPI Number | 1083806772 |
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Provider Enumeration Date | 08/16/2007 |
Last Update Date | 10/14/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083806772 | NPI | - | NPPES |
133401800 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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